How Often Should You Get an Eye Exam? A Complete Guide

March 1, 2025
5 min read
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Introduction

Many people assume that eye exams are only necessary when they notice vision problems, but regular check-ups are essential for preventing serious eye conditions and ensuring long-term eye health.

So, how often should you get an eye exam? The answer depends on several factors, including your age, medical history, and vision needs. In this guide, we’ll break down the recommended eye exam schedule for different age groups and risk factors, helping you understand when and why you should visit an optometrist or ophthalmologist.

Why Are Regular Eye Exams Important?

Eye exams do more than just check your vision—they can also detect early signs of serious health conditions, such as:

👁️ Glaucoma & Cataracts – Common in older adults, these can lead to vision loss if untreated.
🩸 Diabetes & High Blood Pressure – Eye exams can reveal early signs of diabetic retinopathy and hypertensive retinopathy.
🧠 Neurological Conditions – Changes in the optic nerve can indicate conditions like multiple sclerosis or even brain tumors.

Even if you don’t wear glasses or contact lenses, scheduling regular exams ensures that any changes in your vision or eye health are detected early.

How Often Should You Get an Eye Exam?

The American Optometric Association (AOA) and American Academy of Ophthalmology (AAO) recommend different eye exam schedules based on age and risk factors.

👶 Infants & Children (0-18 Years Old)

📅 First eye exam at 6 months old
📅 Second exam at 3 years old
📅 Before starting school (age 5-6)
📅 Every 1-2 years after that

Why?

  • Detects early vision problems like lazy eye (amblyopia) or crossed eyes (strabismus).
  • Ensures proper vision development for learning and reading.

📌 Tip: School vision screenings are not a substitute for a comprehensive eye exam.

👩‍💻 Adults (19-39 Years Old)

📅 Every 2 years if you have no vision problems.
📅 Annually if you wear glasses, contact lenses, or have risk factors.

Why?

  • Detects early signs of eye strain, dry eye, or refractive changes.
  • Monitors screen-related eye fatigue due to prolonged digital device use.

📌 Tip: If you experience frequent headaches, blurry vision, or eye strain, visit an optometrist sooner.

🦸 Adults (40-64 Years Old)

📅 Every 1-2 years, even if you have no vision problems.
📅 Annually if you have a family history of eye diseases.

Why?

  • Risk for presbyopia (age-related difficulty focusing on close objects) increases.
  • Detects early signs of cataracts, glaucoma, or macular degeneration.

📌 Tip: After age 40, many people need reading glasses or bifocals due to presbyopia.

👴 Seniors (65+ Years Old)

📅 Annual eye exams recommended.

Why?

  • Higher risk of age-related vision loss from glaucoma, macular degeneration, and cataracts.
  • Identifies conditions like diabetic retinopathy or hypertensive retinopathy.

📌 Tip: If you see halos around lights, experience double vision, or have trouble seeing in low light, schedule an exam immediately.

Who Needs More Frequent Eye Exams?

Some people are at higher risk for vision problems and may need more frequent eye exams:

✅ People with Diabetes – Higher risk of diabetic retinopathy, which can lead to blindness.
✅ Those with a Family History of Eye Disease – Increased risk for glaucoma, macular degeneration, or retinal diseases.
✅ Contact Lens Wearers – Need more frequent check-ups to prevent infections and ensure proper fit.
✅ People with High Blood Pressure – Can cause damage to blood vessels in the eyes, leading to vision problems.
✅ Individuals with a History of Eye Surgery – Regular exams ensure proper healing and long-term vision stability.

📌 Tip: If you notice flashes of light, sudden vision loss, or severe eye pain, seek emergency eye care immediately.

What Happens During an Eye Exam?

A comprehensive eye exam includes:

🔍 Visual Acuity Test – Measures sharpness of vision (20/20, nearsightedness, farsightedness).
👀 Refraction Test – Determines if you need glasses or contact lenses.
💡 Eye Health Check – Examines the retina, optic nerve, and overall eye structure.
⚖️ Eye Pressure Test – Screens for glaucoma.
🌈 Color Vision & Depth Perception Tests – Identifies color blindness and eye coordination issues.

📌 Tip: If you work long hours on a computer, ask about blue light protection and ways to reduce digital eye strain.

How to Protect Your Eyes Between Exams

🕶️ Wear UV-Protective Sunglasses – Prevents damage from harmful sun exposure.
📖 Take Breaks from Screens – Follow the 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds).
🥦 Eat Eye-Healthy Foods – Leafy greens, carrots, and fish help maintain vision.
💧 Stay Hydrated – Helps prevent dry eye syndrome.
🏋️ Maintain a Healthy Lifestyle – Regular exercise and a balanced diet reduce the risk of diabetes and high blood pressure, which affect vision.

📌 Tip: If you wear contact lenses, always follow proper cleaning and replacement guidelines.

Conclusion

Your eyes change over time, and regular eye exams are crucial for early detection of vision problems and eye diseases.

General Eye Exam Guidelines Recap:

📅 Children (0-18): Every 1-2 years
📅 Adults (19-39): Every 2 years
📅 Adults (40-64): Every 1-2 years
📅 Seniors (65+): Annually

👁️ Don’t wait until you notice vision problems—schedule your next eye exam today! Your eyes will thank you.

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